- Participation Determinants in the DRG Payment System of Obstetrics and Gynecology Clinics in South Korea.
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Jung Kook Song, Chang yup Kim
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J Prev Med Public Health. 2010;43(2):117-124.
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DOI: https://doi.org/10.3961/jpmph.2010.43.2.117
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- OBJECTIVES
The Diagnosis Related Group (DRG) payment system, which has been implemented in Korea since 1997, is based on voluntary participation. Hence, the positive impact of this system depends on the participation of physicians. This study examined the factors determining participation of Korean obstetrics & gynecology (OBGYN) clinics in the DRG-based payment system. METHODS: The demographic information, practice-related variables of OBGYN clinics and participation information in the DRG-based payment system were acquired from the nationwide data from 2002 to 2007 produced by the National Health Insurance Corporation and the Health Insurance Review & Assessment Service. The subjects were 336 OBGYN clinics consisting of 43 DRG clinics that had maintained their participation in 2003-2007 and 293 no-DRG (fee-for-service) clinics that had never been a DRG clinic during the same period. Logistic regression analysis was carried out to determine the factors associated with the participation of OBGYN clinics in the DRG-based payment system. RESULTS: The factors affecting participation of OBGYN clinics in the DRG-based payment system were as follows (p<0.05): (1) a larger number of caesarian section (c/sec) claims, (2) higher cost of a c/sec, (3) less variation in the price of a c/sec, (4) fewer days of admission for a c/sec, and (5) younger pregnant women undergoing a c/sec. CONCLUSIONS: These results suggest that OBGYN clinics with an economic practice pattern under a fee-for-service system are more likely to participate in the DRG-based payment system. Therefore, to ensure adequate participation of physicians, a payment system with a stronger financial incentive might be more suitable in Korea.
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Citations
Citations to this article as recorded by  - Polypharmacy, hospitalization, and mortality risk: a nationwide cohort study
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Scientific Reports.2020;[Epub] CrossRef - Impact of payment system change from per-case to per-diem on high severity patient's length of stay
Sung-In Jang, Chung Mo Nam, Sang Gyu Lee, Tae Hyun Kim, Sohee Park, Eun-Cheol Park
Medicine.2016; 95(37): e4839. CrossRef - The Effect of Mandatory Diagnosis-Related Groups Payment System
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Health Policy and Management.2016; 26(2): 135. CrossRef - Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG
Eun Ha, Kyeha Kim
Journal of Korean Academy of Nursing Administration.2012; 18(2): 176. CrossRef
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